Russian MedicineRussian MedicineРоссийский медицинский журнал0869-21062412-9100Eco-Vector7226210.17816/0869-2106-2021-27-1-57-65LecturesЛекцииResearch ArticleAnticoagulant therapy in patients with atrial fibrillation: management of bleedingАнтикоагулянтная терапия у больных с фибрилляцией предсердий: тактика в случае развития кровотеченийhttps://orcid.org/0000-0001-8309-8231ZotovaIrina V.ЗотоваИрина Вячеславовна
Russian Federation

MD, Cand. Sci. (Med.)

к.м.н.

irinazotova@bk.ruCenter for Individualized Prevention and Treatment of Arterial and Venous Thrombosis, City Clinical Hospital Nо 17Центр индивидуализированной профилактики и лечения артериальных и венозных тромбозов, Городская клиническая больница № 17Central State Medical Academy of department of presidential affairs of Russian FederationЦентральная государственная медицинская академия Управления делами Президента Российской Федерации1502202127157652706202127062021Copyright ©; 2021, Eco-VectorCopyright ©; 2021, ООО "Эко-Вектор"2021Eco-VectorООО "Эко-Вектор"https://medjrf.com/0869-2106/article/view/72262

Bleeding is the most common complication of long-term anticoagulant therapy. For patients with atrial fibrillation, it is important to consider the balance of hemorrhagic and thromboembolic risks in the event of bleeding since unreasonable withdrawal of anticoagulants can worsen the prognosis. The management of patients with hemorrhagic complications is determined according to the severity of bleeding, type of anticoagulant taken, and presence of high thromboembolic risk factors. The paper presents the author’s protocol for the management of patients with atrial fibrillation and various types of hemorrhagic complications against the background of anticoagulant therapy.

Кровотечения являются наиболее частым осложнением длительной антикоагулянтной терапии. Для пациентов с фибрилляцией предсердий в случае развития кровотечений важно учитывать баланс геморрагического и тромбоэмболического рисков, так как необоснованная отмена антикоагулянтов может ухудшить прогноз. Тактика ведения пациентов с геморрагическими осложнениями определяется тяжестью кровотечения, типом принимаемого антикоагулянта и наличием факторов высокого тромбоэмболического риска. В статье приведен авторский протокол ведения больных с фибрилляцией предсердий и различными типами геморрагических осложнений на фоне антикоагулянтной терапии.

atrial fibrillationwarfarindirect oral anticoagulantsbleedingneutralization of the anticoagulant effectфибрилляция предсердийварфаринпрямые оральные антикоагулянтыкровотечениянейтрализация антикоагулянтного эффектаscardio.ru [internet]. Atrial fibrillation and flutter. Clinical guidelines, year of approval 2020. "Approved at the meeting of the Scientific and Practical Council of the Ministry of Health of the Russian Federation (meeting of 16.10.2020 Protocol No. 38/2–3–4)" [cited 2021 Feb 7]. Available from: https://scardio.ru/content/Guidelines/2020/Clinic_rekom_FP_TP.pdf (In Russ.)scardio.ru [интернет]. Фибрилляция и трепетание предсердий. Клинические рекомендации, год утверждения 2020. [дата обращения: 07.02.2021]. 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